Vaginal adenosis successfully treated with simple unipolar cauterization

Area of Science:

• Gynecology
• Pathology

Background:

• Vaginal adenosis is uncommon, particularly without diethylstilbestrol (DES) exposure, and its origins are not well understood.
• This condition can manifest with symptoms like vaginal discharge and painful intercourse (dyspareunia).

Observation:

• A 24-year-old female patient presented with persistent vaginal discharge and dyspareunia.
• Physical examination revealed diffuse, red, patchy lesions on the vaginal walls and cervix.

Findings:

• Histopathologic analysis confirmed vaginal adenosis accompanied by chronic inflammation.
• Standard antibiotic treatments (metronidazole, tetracycline) were ineffective.

Implications:

• Unipolar cauterization proved to be an effective treatment for non-DES-related vaginal adenosis.
• This case highlights an alternative therapeutic option for managing this rare gynecological condition.